NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
Three months after the death of her husband in an automobile accident, a client is admitted to the hospital after attempting to overdose on her antidepressant. She states, 'I can't live without him. It's no use.' Which of the following nursing diagnoses is the priority in the client's plan of care?
Correct Answer: D
Rationale: Risk for self-directed violence is the priority due to the recent suicide attempt and expressed desire to die, posing an immediate safety concern. Complicated grieving, powerlessness, and hopelessness are relevant but secondary to ensuring safety.
Question 2 of 5
A married female client has been referred to the mental health center because she is depressed. The nurse notices bruises on her upper arms and asks about them. After denying any problems, the client starts to cry and says, 'He didn't really mean to hurt me, but I hate for the kids to see this. I'm so worried about them.' Which of the following is the most crucial information for the nurse to determine?
Correct Answer: B
Rationale: The priority in cases of suspected abuse is to assess for immediate safety risks to the client and her children, as this determines the urgency and type of intervention needed.
Question 3 of 5
A 20-year-old client diagnosed with paranoid schizophrenia is recovering from a psychotic break. Before discharge from the hospital, the client becomes depressed and states, 'I don't want this illness. I'm about to begin my junior year in college.' Which of the following issues would be most important for the nurses to address at this time?
Correct Answer: D
Rationale: Medication non-compliance is critical to address to prevent relapse, especially given the client's distress.
Question 4 of 5
An unconscious client in the emergency department is given I.V. naloxone (Narcan) due to an overdose of heroin. Which of the following would indicate a therapeutic response to the Narcan? Select all that apply.
Correct Answer: C,E
Rationale: Naloxone reverses opioid overdose, leading to dilated pupils and restored consciousness. Pulse rate may increase, respirations should improve, and skin changes are less specific.
Question 5 of 5
While a client is taking alprazolam (Xanax), which of the following should the nurse instruct the client to avoid?
Correct Answer: C
Rationale: The client should avoid alcohol, as it increases CNS depression when combined with alprazolam, posing significant risks.